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DocuSign Envelope ID:A3E0213B-1DCD-43A3-9C41-A2EC55A8CA94 t A - continued
<br /> Provider's Outside Agency Application
<br /> MAIN APPLICATION
<br /> Section VI.Financial Data
<br /> Operating Budget for Entire Agency
<br /> AGENCY NAME: Orange Congregations in Mission
<br /> Actual Estimated Projected Percent
<br /> AGENCY REVENUE 2014-15 2015-16 2016-17 Change
<br /> Private Donations $ 517,545 $ 449,000 $ 449,000 0%
<br /> Agency Generated Revenue(fees) $ 201,456 $ 236,726 $ 236,726 0%
<br /> Local Government Grants:
<br /> Orange County $ 50,415 $ 50,415 $ 50,415 0%
<br /> Town of Chapel Hill 0
<br /> Town of Carrboro 0
<br /> Other Local: Town of Hillsborough $ 5,000 $ - $ - 0
<br /> Other Local: Towi of Hillsborough eeter assistance $ 2,828 $ 5,600 $ 5,600 0%
<br /> Other Local: 0
<br /> If more than 3 sources,please
<br /> provide a separate list.
<br /> Non-Local Government Grants
<br /> Triangle United Way $ 39,974 $ 29,000 $ 29,000 0%
<br /> State Government 0
<br /> Federal Government FEMA $ - $ 15,000 $ 15,000 0%
<br /> Other Grants: 0
<br /> Other Grants: 0
<br /> Miscellaneous/Other Revenue $ 68,741 $ 109,994 $ 109,994 0%
<br /> Please list 3 largest Miscellanous sources:
<br /> Duke Energy Foundation $ 4,596.59
<br /> Other grants $ 61,145.00
<br /> Miscellaneous/Recycling $ 2,999.37
<br /> Total Agency Revenue $ 885 959 $ 895 735 $ 895 735 0%
<br /> AGENCY EXPENSES
<br /> Compensation(Exec.Dir.salary included) $ 143,033 $ 147,763 $ 147,763 0%
<br /> Rent&Utilities $ 43,952 $ 37,250 $ 37,250 0%
<br /> Supplies&Equipment $ 16,092 $ 15,655 $ 15,655 0%
<br /> Travel&Training $ 4,179 $ 5,650 $ 5,650 0%
<br /> Other Expenses: $ 748,707 $ 691,502 $ 691,502 0%
<br /> Please list 3 largest"Other Expenses":
<br /> Client Assistance $ 502,099.00
<br /> Salaries(exclude Exec.Dir.) $ 174,049.00
<br /> Accounting Fees $ 35,903.00
<br /> Total Agency Expenses $ 955,963 $ 897,820 $ 897,820 0%
<br /> SURPLUS/(DEFICIT)FOR PERIOD: I $ (70,004)1 $ (2,085)1 $ (2,085)1 0%I
<br /> Main Application 5/25/2016 9:39:17 AM .. 2 1 o of 2 2
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